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NIH Stroke Scale EXAM QUESTIONS AND VERIFIED ANSWERS

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NIH Stroke Scale EXAM QUESTIONS AND VERIFIED ANSWERS NIH Stroke Scale EXAM QUESTIONS AND VERIFIED ANSWERS

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Part 1 (a, b, c) LEVEL OF CONSCIOUSNESS
1a: Arousal
0 = alert
1 = drowsy; awakens w minor stimulation
2 = obtunded or needs repeated stimulation
3 = reflexive responses only or unresponsive


1b: Questions = Name and current month, +1 for language barrier
0 = both questions
1 = one
2 = neither question


1c: Commands = Open and close eyes, grip and release non-paretic hands
0 = both
1 = one
2 = neither


Part 2-3 EYES
2: Gaze
0 = Normal
1 = Gaze deviation that can be overcome (preference)
2 = Forced gaze deviation (palsy)
*Isolated palsy = 1


3: Visual Fields via confrontation or threat if comatose
1 = partial hemianopia
2 = complete hemianopia
3 = total blindness bilat (cortical blindness)
*If pt has unilat blindness, use good eye for fields
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